LOUISIANA UROLOGY CENTER (NPI# 1306021357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306021357 |
| Entity Type | Organization |
| Organization Name | LOUISIANA UROLOGY CENTER |
| Practice Address |
5000 Ambassador Caffery Pkwy Bld 16 Lafayette LA 70508-6984 |
| Practice Telephone | 3374068009 |
| Practice Fax Number | 3374068010 |
| Mailing Telephone | 3374068009 |
| Mailing Fax Number | 3374068010 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | DR. THOMAS J FOREST (PHYSICIAN) |
| Authorized Official Telephone | 3374068009 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 11767R | LA | Allopathic & Osteopathic Physicians |
| Street Address |
5000 AMBASSADOR CAFFERY PKWY BLD 16 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344428 | David G Baker | Internal Medicine | 5000 Ambassador Caffery Pkwy, Province Building 1, Lafayette, LA 70508-6984 | 2005-05-23 |
| 1578866778 | Donna Aucoin Ph.d & Associates LLC | Psychologist | 5000 Ambassador Caffery Pkwy, Province Bldg 13, Lafayette, LA 70508-6984 | 2010-12-09 |
| 1093033417 | Amy Leblanc Landry | Nurse Practitioner | 5000 Ambassador Caffery Pkwy, Bldg #1, Lafayette, LA 70508-6984 | 2010-05-10 |
| 1427282284 | Heather Alexis Daigle | Nurse Practitioner | 5000 Ambassador Caffery Pkwy, Bldg #1, Lafayette, LA 70508-6984 | 2009-05-08 |
| 1659535847 | Bradley M Blappert Md | Clinic/Center | 5000 Ambassador Caffery Pkwy, Building 6b, Lafayette, LA 70508-6984 | 2008-07-16 |
| 1306009634 | Vicki Guilbeau | Counselor | 5000 Ambassador Caffery Pkwy, Province, Building 13, Lafayette, LA 70508-6984 | 2008-07-07 |
| 1568653087 | Donna Aucoin, Ph.d. & Associates, LLC | Psychologist | 5000 Ambassador Caffery Pkwy, Building 13, Lafayette, LA 70508-6914 | 2007-08-08 |
| 1023225356 | Lafayette Heart Clinic, LLC | Nuclear Medicine | 5000 Ambassador Caffery Pkwy, Province Building 1, Lafayette, LA 70508 | 2007-05-17 |
| 1407903651 | Cardiovascular Clinic LLC | Clinic/Center | 5000 Ambassador Caffery Pkwy, Province Bldg. 14-a, Lafayette, LA 70508-6984 | 2007-01-03 |
| 1558421420 | Vernon A Valentino, Md, Apmc | Internal Medicine | 5000 Ambassador Caffery Pkwy, Building 1 Ste 100, Lafayette, LA 70508-6984 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881012722 | Julio Tian-fa Chong | Urology | 300 Exempla Cir Ste 250, Lafayette, CO 80026-3392 | 2014-03-28 |
| 1093973984 | Charles Bruce Williams Jr. | Urology | 913 S College Rd Ste 203, Lafayette, LA 70503-3062 | 2008-05-28 |
| 1467540344 | Jeannette M Chassaignac | Urology | 1016 Coolidge Blvd, Lafayette, LA 70503-2436 | 2006-10-10 |
| 1275634107 | Jeffrey J Thibodeaux | Urology | 200-a Energy Parkway, Suite 209, Lafayette, LA 70508 | 2006-09-25 |
| 1851333520 | Emilia Ripoll | Urology | 120 Old Laramie Trail East, Lafayette, CO 80026-5600 | 2006-06-10 |
| 1548810120 | Advanced Urology, Pllc | Urology | 300 Exempla Cir Ste 250, Lafayette, CO 80026-3392 | 2019-09-16 |
| 1528420858 | Unity Healthcare, LLC | Urology | 1345 Unity Pl, Suite 110a, Lafayette, IN 47905-5760 | 2016-03-25 |
| 1750775672 | Hyosang Abraham Chiang | Urology | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2015-03-28 |
| 1417369604 | Daniel B Abbott | Urology | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2014-05-22 |
| 1760612865 | Southern Urology LLC | Urology | 1016 Coolidge Blvd, Lafayette, LA 70503-2436 | 2009-07-23 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.